CNS Oncology (Mar 2021)

The clinical heterogeneity of entirely nonenhancing CNS lymphoma: a case series

  • Stephen G Bowden,
  • Daniel N Munger,
  • Jaclyn Thiessen,
  • S Cody Schoettler Woll,
  • Seunggu J Han,
  • Edward A Neuwelt,
  • Ramon F Barajas,
  • Prakash Ambady

DOI
https://doi.org/10.2217/cns-2020-0020
Journal volume & issue
Vol. 10, no. 1

Abstract

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CNS lymphoma often presents with atypical imaging characteristics leading to delay in diagnosis and initiation of treatment. Among the most rarely reported of these is entirely nonenhancing CNS lymphoma, which is estimated at an incidence of about 1%. Here, we present three cases of nonenhancing CNS lymphoma in immune competent patients at both initial presentation and recurrence and in primary as well as secondary CNS lymphoma. Diffusion- and perfusion-weighted imaging was found helpful in diagnosis in some cases.

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